Music Therapy & Telemedicine

Music Therapy & TelemedicineAndy Tubman, MT-BC

3rd Annual Georgia Partnership for Telehealth

March 15th, 2012

Co-Founder, Musical Health TechnologiesFounder, Integrative Music Therapy Services

Agenda

Text 1.Hello

2.Affiliations

3.Defining Music Therapy

4.My Approach Including Case

Studies

5.How Music Therapy Tools Can Be

Used at a Distance Including

Demos

6.Questions & Answers

7.Resources

Affiliations

Andy Tubman, MT, BC

Board Certified Music Therapist - Received music therapy degree from Temple University and board certification from the CBMT to practice nationally.

Integrative Music Therapy Services

Founder - Provides private and group Music therapy services throughout Southern California. and consulting services internationally.

Co-Founder - Technology to enable successful musical experiences.

Definition

TextMusic Therapy Is:

The prescribed clinical use of music as a

therapeutic intervention in order to stimulate

positive changes in four areas of human

functioning; cognitive, physical, psychological

and social.

Music Therapy

• Profession grew out of VA

• Now a unique clinical

discipline

• Success with difficult to treat

conditions: TBI, Autism,

Dementia

Explosion of Music Health Research

Media Attention Grows

Text

Client Lead - Music TherapyProviding an appropriate setting for a client to follow their interests through Creating Stations featuring a variety of artistic mediums. These activities are structured musically by the therapist often resulting in a full brain workout.

INFLUE

Integrative Music Therapy Approach

Ken Bruscia

The IMTS Approach in Action

and How Music Therapy Tools Can Be Used at a

Distance

Realistic Victories for the Profoundly Differently Abled

Case Studies with Matthew and David

Text

Diagnosis: Cerebral palsy and Autism Spectrum Disorder.

“Matthew”

Look For:

•Non verbal though increasing vocalizations.

•Shaking hands for first time ever.

•Increasing engagement.

What Your Saw

•Non verbal though increasing vocalizations

•Shaking hands for first time.

•Increasing engagement.

What’s Happening

•Vocalization validated.

•ISO Principle used to deepen engagement.

•Vocally matching tonality

Realistic Victory

•Matthew shakes hands!

•Increasing communication skills

•Brighter affect

Case Study: “Matthew”

David’s Court Victory Restoring Funding for Music Therapy“Shaun Hussain, M.D., a pediatric neurologist treating claimant...music therapy “has become a critical means to alleviate the otherwise devastating cognitive and psychosocial impact of Lennox-Gastaut Syndrome [claimant’s specific epilepsy syndrome].”

Although he exhibits severe neurocognitive disability, [claimant] seems to demonstrate improved social, emotional and even cognitive functioning during therapy sessions. This has not been accomplished in any other academic setting nor has it been achieved previously with the aid of other behavioral and pharmacological therapies.

Pornchai Tirakitsoontorn, M. D., a pediatric pulmonologist treating claimant wrote....music therapy ‘has been helping [him] . . . to increase his breath control, increase his oxygenation, decrease his seizure recovery time, and to help stabilize and lower his heart rate.’”

David’s Story:Realistic Victories Are Possible Therapeutically &

Bureaucratically

Diagnosis “Cerebral palsy, spastic quadriparxsis, seizure disorder, osteopenia and cortical vision impairment. He is non-ambulatory. He requires a wheelchair, stroller and stander for mobility. He is non-verbal.” -- California Department of Developmental Services

Text

What to Look For•Change in timing of hitting tambourine. •Therapist manually assisting with breathing. •Eye fixation initially and then eye movement increases.

“David”

What Your Saw

•Therapist hitting tambourine with client.

•Therapist using manual bio feedback to assist in deep breathing process.

•Eye movement and depth of breath increasing.

•Singing “Go” that requires controlled breathing mirroring and conscious thought.

What’s Happening

•Therapist using entrainment

•Therapist using ISO principle.

•Therapist using high metallic frequencies.

Realistic Victory

•Avoiding full seizure.

•Reinforcing learned deep breathing techniques

•Evidence to David’s support system of his internal world.

David

The IMTS Approach in Action

Other Techniques•Improvisational Drumming

•Songwriting•Guided Imagery In Music

•Motor Planning Rehab

The Challenge

1 Music Therapist 62,000 People

Music Therapy ToolsAvailable in Telemedicine

1. Music Listening to Help Self RegulationUtilize the Iso principle and technology like Coro Health.

2. Make Music & Dance TogetherBond, self regulate, have fun and download music making apps.

3. SingFit

Sing It!

That’s What Singing Does

Closing

1.Thanks to Clients for

Sharing Video (and Paula)

2.Questions & Answers

ContactAndy [email protected]